SEAN P HACKETT PA-C
NPI 1881685642
Physician Assistant - Medical in Fruitland, ID

Q: What is Sean Hackett's NPI number?

The NPI number for Sean Hackett is 1881685642. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Q: What is Sean Hackett's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Sean Hackett was last updated on March 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 02, 2005PECOS EnrolledAccepts Medicare Assignment

1210 NW 16TH ST, FRUITLAND, ID 83619(208) 452-8600(208) 452-8601 Get Directions Write a Review

NPPES record last updated: March 16, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Sean P Hackett Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SEAN P HACKETT PA-C (NPI 1881685642) is an individual medical provider in Fruitland, Idaho, licensed in Idaho (PA-204) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1881685642

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameSEAN P HACKETTCredential: PA-C

Location Address1210 NW 16TH STFruitland, ID 83619-2202

Mailing Address190 E Bannock StBoise, ID 83712-6241

Phone(208) 452-8600

Fax(208) 452-8601

Sole ProprietorNo

Medical School CMSOtherGraduated 1997

Enumeration DateNovember 2, 2005

Last NPPES UpdateMarch 16, 2011

✔ NPI 1881685642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

Licenses✔ Licensed in ID · PA-204✔ Licensed in OR · PA00575

1210 NW 16TH ST, Fruitland, ID 83619

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sean P Hackett Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325177769

PECOS Enrollment IDI20100524000793

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number130006

Location190 East Bannock StreetBoise, ID 83712 · Ada County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THOMAS LANDON HELM PA-C

Physician Assistant